Healthcare Provider Details

I. General information

NPI: 1477945681
Provider Name (Legal Business Name): CHRISTOPHER ZALEWSKI LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE U10
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE U10
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-636-9467
  • Fax: 216-636-8600
Mailing address:
  • Phone: 216-636-9467
  • Fax: 216-636-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1451378
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5159
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: